Organization
GASTROENTEROLOGY ASSOCIATES OF DUBLIN LLC
Active
Parent organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Authorized official
TONY M O'STEEN (CFO VP FINANCE)
(912) 538-5314
Entity
Organization
Contact information
Practice address
104 FAIRVIEW PARK DR, DUBLIN, GA 31021-2500
(478) 277-1255
(478) 304-1467
Mailing address
PO BOX 1528, DUBLIN, GA 31040-1528
(478) 272-1366
(478) 277-1251
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
048883
GA
Other
Enumeration date
11/12/2015
Last updated
08/07/2020
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